Senior Vice President of Care Management Solutions

1 week ago

Cincinnati, Ohio, United States exl Full time

Care Management Solutions Leader

EXL is seeking a seasoned executive to drive the commercialization of our analytic, payment, and digital operation solutions into repeatable solutions for the healthcare market. This role will focus on building value in the market with a focus on utilization management and case management.

Our solutions are foundational to optimizing the healthcare spend and enable our clients to:

  • Focus spend on services that optimize patient/member experience and outcomes
  • Deliver insights and scale for stakeholders
  • Optimize productivity of the healthcare workforce
  • Clinical subject matter expert (SME) supporting commercialization and implementations

In this role, you will be responsible for supporting the strategy, development, value creation, market leadership, and customer success of our solutions. Primary responsibilities include partnering with cross-functional stakeholders to ensure execution and meeting of customer requirements.

Key Responsibilities:

  • Inform and maintain the solution strategy, partnering with cross-functional stakeholders to ensure execution and meeting of customer requirements
  • Be responsible for educating internal teams and customers on solution features
  • Actively partner with customers, vendors/partners and internal departments to translate problem statements into solutions
  • Work with sales, finance and leadership teams to determine customer solution, pricing and packaging approach
  • Serve as SME for sales enablement activities
  • Participate in market research to further clarify solution strengths and gaps to help feed into future solution definitions/strategy
  • Articulate core value proposition and competitive advantage to the market by working with marketing to build compelling sales and marketing presentations that properly position the products
  • For defined strategy, inform and maintain end to end strategic solution roadmap
  • Actively work to increase adoption of solution

Requirements:

  • Bachelor's degree in Nursing
  • 10+ years' experience in Payer solutions and care management
  • 5+ years in a managerial leadership role

Preferred Qualifications:

  • Exceptional communication and presentation skills with the ability to articulate technical solutions to diverse stakeholders
  • Strong appreciation for various delivery models including analytics, software, and platform enabled services models
  • Demonstrated ability to work in a multicultural, global environment
  • MBA and/or Advanced Degree preferred

About EXL:

EXL Health offers an exciting, fast-paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.

From your very first day, you get an opportunity to work closely with highly experienced, world-class Healthcare consultants. You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.

We provide guidance/coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors. Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

Other details:

  • Pay Type Salary
  • Employment Indicator Regular
  • Min Hiring Rate $140,000
  • Max Hiring Rate $175,000
  • Travel Required Yes
  • Travel % 40
  • Telecommute % 100
  • Required Education Bachelor's Degree

  • Senior Vice President of Care Management Solutions

    4 days ago

    Cincinnati, Ohio, United States exl Full time

    Care Management Solutions Leadership OpportunityEXL is seeking a Senior Vice President to drive the commercialization of our analytic, payment, and digital operation solutions into repeatable solutions for the healthcare market. This role will focus on building value in the market with a focus on utilization management and case management.Our solutions are...

  • Executive Vice President of Finance

    1 month ago

    Cincinnati, Ohio, United States Rumpke of Ohio, Inc. Full time

    Executive Vice President of FinanceRumpke, a family-owned and operated company, is seeking an Executive Vice President of Finance to join its senior leadership team. As a key member of the executive team, the EVP of Finance will be responsible for leading the company's financial planning, analysis, and reporting functions.The ideal candidate will have a...

  • Vice President of Finance

    4 weeks ago

    Cincinnati, Ohio, United States Taylor Morrison Full time

    About the RoleWe are seeking a highly skilled and experienced Vice President of Finance to join our team at Taylor Morrison. As a key member of our leadership team, you will play a critical role in driving business growth while ensuring financial stability and risk management.Key ResponsibilitiesDevelop and implement financial strategies to drive business...

  • Vice President, Deputy General Counsel

    1 month ago

    Cincinnati, Ohio, United States Cincinnati Children's Hospital Medical Center Full time

    Job Title: Vice President, Deputy CounselCincinnati Children's Hospital Medical Center is seeking a highly skilled and experienced Vice President, Deputy Counsel to join our team. As a key member of our legal department, you will play a critical role in providing strategic legal guidance and support to our research-related activities.Key...

  • Taxation Vice President

    2 weeks ago

    Cincinnati, Ohio, United States Communicare Health Services Full time

    Job Title: Vice President of TaxationCommuniCare Health Services is a leading healthcare management company with a rich history of delivering exceptional care and services since 1984. We are seeking an experienced Vice President of Taxation to lead our tax function, including planning, identification of opportunities, and compliance for one of the largest...

  • Vice President of Utilization Management and Physician Advisor

    3 weeks ago

    Cincinnati, Ohio, United States UC Health Full time

    About the RoleThe Vice President of Utilization Management and Physician Advisor will play a critical role in driving clinical excellence and operational efficiency across UC Health. This senior leader will oversee the Physician Advisor Program, lead system-wide Clinical Documentation Improvement (CDI) initiatives, and work to optimize utilization management...

  • Senior Vice President of Utilization Management and Physician Advisor

    2 weeks ago

    Cincinnati, Ohio, United States UC Health Full time

    Job SummaryUC Health is seeking a highly experienced and skilled Vice President of Utilization Management and Physician Advisor to lead our Physician Advisor Program and drive system-wide CDI initiatives. The ideal candidate will have a strong background in clinical operations, physician leadership, and utilization management.The successful candidate will...

  • Executive Vice President of Operations

    4 weeks ago

    Cincinnati, Ohio, United States Topicz Full time

    Job Title: Vice President of OperationsTopicz, a premier convenience store distribution company with a rich history dating back to 1926, is seeking a dynamic leader to join its team. As a Vice President of Operations, you will be responsible for overseeing daily operations, collaborating with the executive team to develop strategic initiatives, and driving...

  • Vice President of Taxation

    1 week ago

    Cincinnati, Ohio, United States Communicare Health Services Full time

    Job Title: Vice President of TaxationJob Summary:CommuniCare Health Services is seeking an experienced Vice President of Taxation to lead the overall tax function, including planning, identification of opportunities, and compliance for one of the largest privately held healthcare companies in the United States.The successful candidate will have a varying...

  • Physician Advisor Vice President

    4 days ago

    Cincinnati, Ohio, United States UC Health Full time

    Job Summary:UC Health is seeking a highly skilled Physician Advisor Vice President to lead our Utilization Management and Physician Advisor Program. As a key member of our leadership team, you will collaborate with cross-functional teams to drive clinical excellence and quality improvement initiatives across our system.Key Responsibilities: Develop and lead...

  • Regional Vice President of OTP

    2 weeks ago

    Cincinnati, Ohio, United States Pinnacle Treatment Centers, Inc. Full time

    Job DescriptionAs a Regional Vice President of OTP, you will oversee the daily administration and supervision of assigned regional program clinics. This includes fostering compliance with clinical and regulatory standards, successful business performance, and direct supervision of clinic administrators and operations teams.Key Responsibilities:Plan, develop,...

  • Senior Cybersecurity Solutions Architect

    4 days ago

    Cincinnati, Ohio, United States Trellix Full time

    About TrellixTrellix is a global company redefining the future of cybersecurity and soulful work. Our comprehensive, open, and native cybersecurity platform helps organizations confronted by today's most advanced threats gain confidence in the protection and resilience of their operations.We accelerate technology innovation through artificial intelligence,...

  • Vice President of Business Dining Operations

    4 weeks ago

    Cincinnati, Ohio, United States Compass Group Careers Full time

    Job DescriptionCompass Group Careers is seeking a highly skilled and experienced Vice President of Business Dining to lead our business dining operations team. As a key member of our leadership team, you will be responsible for ensuring the efficient and effective management of our business dining operations, including client retention and satisfaction,...

  • Associate Vice President, Heart Challenge

    1 week ago

    Cincinnati, Ohio, United States American Heart Association Full time

    Be a Force for a World of Longer, Healthier LivesWe have an exciting opportunity for an Associate Vice President, Heart Challenge in our Cincinnati office. As a member of our 6-person team, you will oversee our Greater Cincinnati Heart Challenge campaign, focusing on our Heart Walk and Cycle Nation events.You will serve in a player/coach role, providing...

  • Strategic Vice President of Human Resources

    4 days ago

    Cincinnati, Ohio, United States Cincinnati Reds Full time

    Job Title: Vice President of People and CultureWe are seeking a highly experienced and strategic leader to oversee our Human Resources function. The ideal candidate will have a proven track record of driving long-term strategy and daily operational excellence.Job Purpose:Responsible for the overall administration, coordination, and evaluation of the Human...

  • Vice President of Strategic Pricing

    2 weeks ago

    Cincinnati, Ohio, United States Acosta Group Full time

    Pricing and Contracting Leadership OpportunityAcosta Group is seeking a seasoned executive to lead our pricing and contracting efforts as Vice President of Deal Strategy. This critical role will be responsible for developing and executing a comprehensive pricing strategy that drives profitable growth and efficient pricing decisions.Key Responsibilities:Lead...

  • Senior Business Development Manager

    4 weeks ago

    Cincinnati, Ohio, United States Northrop Grumman Full time

    Job Title: Senior Business Development ManagerNorthrop Grumman's Mission System's Networked Information Solutions (NIS) Division is seeking a Senior Business Development Manager for the Cyber and Information Solutions (C&IS) portfolio. The customers in this portfolio include both DoD and Intelligence Community.Job Summary:The successful candidate will lead...

  • Regional Vice President Academy Leader

    4 weeks ago

    Cincinnati, Ohio, United States Olympic Recruiting Agency Full time

    Unlock Your Potential in the Financial IndustryAre you ready to take your career to the next level and achieve success in the financial industry? Our 18-month program is designed to help you develop the skills and knowledge you need to become a Regional Vice President.Program OverviewOur comprehensive training program includes:Effective communication and...

  • Vice President Brand Leadership

    1 week ago

    Cincinnati, Ohio, United States Highline Outdoor Group Full time

    About UsWe are a leading recruitment agency specializing in high-impact searches for marketing and brand leaders in the outdoor and sporting goods industries. Our clients are renowned for their commitment to excellence, and we take pride in partnering with them to find the top talent.Our core area of expertise lies in conducting comprehensive searches for...

  • Vice President Brand Leadership

    4 weeks ago

    Cincinnati, Ohio, United States Highline Outdoor Group Full time

    About UsHighline Outdoor Group is a leading recruitment agency specializing in high-impact searches for marketing and brand leaders in the outdoor and sporting goods industries. Our clients are renowned for their commitment to excellence, and we pride ourselves on delivering top talent to support their selection process.We excel in high-stakes environments,...